Provider Demographics
NPI:1821158296
Name:RUFFING, JOHN J (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:J
Last Name:RUFFING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 KEARNEY STREET
Mailing Address - Street 2:
Mailing Address - City:HEMINGFORD
Mailing Address - State:NE
Mailing Address - Zip Code:69348
Mailing Address - Country:US
Mailing Address - Phone:308-487-5286
Mailing Address - Fax:
Practice Address - Street 1:812 LARAMIE AVENUE
Practice Address - Street 2:
Practice Address - City:HEMINGFORD
Practice Address - State:NE
Practice Address - Zip Code:69348
Practice Address - Country:US
Practice Address - Phone:308-487-3322
Practice Address - Fax:308-487-5447
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE03495OtherBCBSNE
P00183340OtherRR MCARE SFC
NE07345OtherBCBSNE
NENE10648Medicaid
P00203563OtherRR MCARE HMFD CLINIC
NENE10648Medicaid
273820Medicare ID - Type UnspecifiedMEDICARE - SFC
P00183340OtherRR MCARE SFC
273918Medicare ID - Type UnspecifiedMEDICARE - HMFD CLINIC